| NPI | 1134752140 |
|---|---|
| Doing Business As | MID MISSOURI FAMILY HEALTH AT FITZGIBBON |
| Entity Type | Organization |
| Authorized Contact | NANCY HARRIS CFO/COO 660-886-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2024-06-27 |